运用新媒体实施健康宣教在结肠癌患者院外护理中的应用  

Application of health education using new media in nursing outside the hospital among colon cancer patients

作　　者：范亚硕[1] 廖化波[2] 孙明杰[3] 张双喜[4] Fan Yashuo;Liao Huabo;Sun Mingjie;Zhang Shuangxi(Endoscopy Center,Nanyang Hospital Affiliated to Zhengzhou University,Nanyang Central Hospital,Nanyang 473000,China;Cardiovascular Medicine,Henan Provincial People's Hospital,Zhengzhou 450000,China;Department of Infection Management,Henan Provincial People's Hospital,Zhengzhou 450000,China;Department of Proctology,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属南阳医院(南阳市中心医院)内镜诊疗部,473000 [2]河南省人民医院心血管内科,郑州450000 [3]河南省人民医院感染管理科,郑州450000 [4]河南中医药大学第一附属医院肛肠科,郑州450000

出　　处：《中华现代护理杂志》2020年第6期779-784,共6页Chinese Journal of Modern Nursing

基　　金：河南省中医药科学研究专项课题(2018ZY2083)。

摘　　要：目的运用新媒体实施健康宣教在结肠癌患者院外护理中的应用效果。方法采用便利抽样法,选取2016年1月—2018年12月南阳市中心医院收治的结肠癌患者86例为研究对象。以2016年1月—2017年6月纳入的43例患者为对照组,2017年7月—2018年12月纳入的43例患者为观察组,对照组实施院外常规健康宣教,观察组运用新媒体实施健康宣教,均持续干预6个月。采用癌症患者知识需求问卷、Champion健康信念量表、癌症自我管理效能感量表比较干预的效果。结果出院后6个月,观察组患者知识需求问卷评分(41.24±7.64)分,对照组(51.94±9.62)分,两组比较差异有统计学意义(t=5.712,P<0.01)。出院后6个月,观察组患者Champion健康信念量表评分(118.10±31.53)分,对照组(92.20±28.23)分,两组比较差异有统计学意义(t=4.013,P<0.01)。出院后6个月观察组患者癌症自我管理效能感量表评分(98.37±17.17)分,对照组(80.45±17.45)分,两组比较差异有统计学意义(t=4.800,P<0.01)。结论结肠癌患者院外护理中运用新媒体实施健康宣教,能够改善患者对疾病健康知识的需求情况,重建健康信念,增强自我管理效能感。Objective To explore the effects of health education using new media in nursing outside the hospital among colon cancer patients.Methods From January 2016 to December 2018,this study selected 86 colon cancer patients at Nanyang Central Hospital as subjects by convenience sampling.A total of 43 patients between January 2016 to June 2017 were in control group,and 43 patients from July 2017 to December 2018 were in observation group.Control group carried out health education outside the hospital,while observation group implemented health education using new media outside the hospital for six months.The effects were compared with the knowledge need questionnaire for cancer patients,Champion Health Belief Model Scale(CHBMS)and the Strategies Used by People to Promote Health(SUPPH).Results Six months after discharge,the scores of knowledge need questionnaire of patients in observation group and control group were(41.24±7.64)and(51.94±9.62)respectively(t=5.712,P<0.01);the score of CHBMS of patients in observation group and control group were(118.10±31.53)and(92.20±28.23)respectively(t=4.013,P<0.01);and the score of SUPPH of patients in observation group and control group were(98.37±17.17)and(80.45±17.45)respectively(t=4.800,P<0.01);the differences were all statistical.Conclusions The application of health education using new media in nursing outside the hospital among colon cancer patients can improve patients'health knowledge need,rebuild the health belief and increase self-management efficacy.

关 键 词：结肠肿瘤 新媒体 健康宣教 院外护理 

分 类 号：R473[医药卫生—护理学]